QHP

Medical abbreviation · Health Insurance

QHP
Stands forQualified health plan
CategoriesMedical

QHP stands for Qualified health plan, a health insurance abbreviation.

Health plan certified for sale on an ACA marketplace, meeting requirements for essential health benefits, cost-sharing limits, network adequacy and metal tiers. Only QHPs bought through the marketplace qualify for premium tax credits and cost-sharing reductions.

Example: All QHPs on the exchange cover pre-existing conditions and preventive care.

Usage notes

Insurers apply each year for certification by the federal or a state-based marketplace. QHPs may also be sold off-exchange, but without subsidies. Catastrophic plans are a separate category for people under 30 or with hardship exemptions.

More health insurance abbreviations

  • PDP – Prescription drug plan (Medicare Part D)
  • PHI – Protected health information
  • PIP – Personal injury protection
  • PMPM – Per member per month
  • POS – Point of service (plan)
  • PPO – Preferred provider organization
  • QMB – Qualified Medicare Beneficiary
  • QSEHRA – Qualified small employer health reimbursement arrangement
  • RAC – Recovery Audit Contractor
  • RAF – Risk adjustment factor
  • RVU – Relative value unit
  • SBC – Summary of benefits and coverage

See all 107 health insurance abbreviations →

This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.